| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NON EXPERIENCE - RATED | — | CIGNA HEALTH AND LIFE INSURANCE AND AFFILIATES (CIGNA) | — | — | $0 | 0.00% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE INC | 13951 NORTH SCOTTSDALE ROAD SUITE 131 SCOTTSDALE, AZ 85254 | HARTFORD LIFE AND ACCIDENT | $120K | — | $120K | 6.89% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE INC | 13951 NORTH SCOTTSDALE ROAD SUITE 131 SCOTTSDALE, AZ 852543454 | VISION SERVICE PLAN | $8K | — | $8K | 0.84% |
| BENEFITSTORE INC3 | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | HARTFORD LIFE AND ACCIDENT | $146K | $0 | $146K | 17.88% |
| BENEFITSTORE INC3 | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | HARTFORD LIFE AND ACCIDENT | $106K | $0 | $106K | 13.94% |
| BENEFITSTORE INC3 | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | HARTFORD LIFE AND ACCIDENT | $86K | — | $86K | 16.68% |
| NON EXPERIENCE - RATED | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| WALT SZADZINSKI & ASSOCIATES LTD3 | 4 OAKBROOK CLUB DR G 304 OAKBROOK, IL 60523 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 3.40% |
| JAMES WALLACE3 | 53 THORNHILL CT BURR RIDGE, IL 60527 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 3.40% |
| RX FINANCIAL RESOURCES, INC3 | 340 W BUTTERFIELD RD STE LE ELMHURST, IL 601265069 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $58 | — | $58 | 8.70% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 11,950 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 230 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 12,180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE AND AFFILIATES (CIGNA) | 8,431 | $5.4M |
| Vision | VISION SERVICE PLAN | 6,502 | $900K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 9,932 | $1.7M |
| Long-term disability(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 9,925 | $1.6M |
| Other(5 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 12,650 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,650 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
No prospect flags tripped on this filing.